WO2012053683A1

WO2012053683A1 - Heart stabilizer

Info

Publication number: WO2012053683A1
Application number: PCT/KR2010/007270
Authority: WO
Inventors: 김성권
Original assignee: Kim Seounggwon
Priority date: 2010-10-20
Filing date: 2010-10-22
Publication date: 2012-04-26
Also published as: KR20120041034A; DE112010005954T5; JP5765643B2; KR101230142B1; JP2013525058A; US9107647B2; US20130184520A1

Abstract

The present invention relates to a heart stabilizer to be used during an operation, e.g. on a coronary artery of the heart. Particularly, a suction tube connected to a suction part for holding the heart performs suctioning without clogging under any condition, and the suction part is allowed to turn left and right and to move back and forth. Furthermore, an adjuster minutely and easily adjusts the angle of the suction part even in a firstly fixed state, and fixes the angle of the suction part. Moreover, the adjuster can be kept clean without sacrificing adjustability.

Description

Cardiac stabilization device.

In the present invention, the heart beats easily and securely when the surgery is performed in the coronary arteries of the heart to be lifted accurately and safely while switching in various directions, and thus the movement of the heart during the procedure is easily and firmly held. It relates to a stabilizer.

In particular, the suction tube connected to the suction unit for holding the heart can be sucked while preventing clogging under any conditions, and the direction of the suction unit can be changed back, forth, left and right as well as the fine angle of the suction unit in the first fixed state. It is also possible to make adjustments simply and maintain cleanliness while maintaining the adjustment function of the adjuster to adjust and fix these angles.

The heart in the human body is the central organ of the circulatory system that is the driving force for circulating blood, and serves as a pump to supply blood to the body by repeating periodic contraction and relaxation. These heart diseases include congenital heart disease and acquired heart disease. .

In addition, there are many other diseases such as coronary artery disease, heart valve disease, and arrhythmia. Among the heart diseases, coronary artery disease, which occupies a large proportion of heart disease, has the ability to expand its lumen sufficiently. Because of hardening, cardiovascular diseases such as narrowing or blockage of the lumen of the blood vessels occur, which makes blood circulation difficult.

In addition, the arteries of the heart send blood to the heart wall and there are two arteries to support the heart itself and left and right, which is called coronary artery. The coronary artery begins at the base of the aorta coming from the heart.

If one or more of the three arterial vessels accumulate in fat, such as cholesterol, in one or more of them, the blood vessels become narrowed, or if the lesions in the arteries become blocked, the heart does not receive oxygen-containing blood. Angina is caused by a lack of blood supply, and coronary artery blockage causes myocardial infarction or heart attack.

Currently, the coronary artery disease is performed by using another artery or vein to make a detour. During the operation of the heart, the surface of the heart is stabilized using a specific tool while the heart is beating. The stabilization device is to be used to facilitate the procedure.

Also, in this case, there is a coronary replacement graft for the treatment and treatment of heart disease. The most important part of the graft is to stabilize the heart so as to secure the field of vision and to facilitate the procedure. It is.

Therefore, the conventional cardiac stabilization apparatus used for the above-mentioned procedure is the suction head and the connecting unit and the control unit and the adsorption unit for adjusting the angle of the adsorption unit and the adsorption unit to suck and attach the epidermis of the heart and the adsorption unit and the It consists of a handle that controls the tightening and loosening of the adjuster and a main holder that can be slidably mounted on the rail of the procedure.

However, the conventional structure of the cardiac stabilization device is due to the suction tube, which maintains the suction pressure to suck and lift the epidermis of the heart for the procedure in the adsorption unit, due to the various positions of the adsorption unit as well as the left and right rotation and the forward and backward movement of the cancer purification unit If a kink occurs or a bending occurs by an external force during the procedure, the suction tube is blocked and the suction pressure cannot be maintained, thereby causing a serious problem by dropping the heart.

In addition, the suction port of the adsorption unit sucks the epidermis of the heart during inhalation, preventing the inhalation nozzle that inhales the air, thereby reducing the suction force that holds the heart, which causes the heart to drop or flow during the procedure. There was a problem that could not be properly performed.

In addition, when the adsorption unit is attached to the epidermis of the heart, the angle adjustment using the control unit is made by the adsorption unit and the control unit integrally. After loosening the adjustment bar, it should be fixed by manipulating the handle again. In this case, fine adjustment to the desired position was impossible.

In addition, the adjuster is usually assembled into a plurality of blocks for the operation as described above, it is possible to tighten or loosen various angles as well as to adjust the angle when the foreign matter is inserted between each of the assembled block body is not easily made. It is usually made in the form of overlaying flexible plastic paper, which is sandwiched between the blocks in which the plastic paper is assembled, which prevents the entry of foreign materials, but induces inconvenience of various angle adjustments. Is that.

In addition, most of the cardiac stabilization devices depend on imports, and most of the stabilization devices imported are uneconomical due to the complicated structure of the adsorption section or the adsorption head or the control panel, the handle or the main holder, and the result of its operation is not robust and accurate. It was inefficient.

Therefore, the present invention has been made in order to solve the above-mentioned conventional problems, so that the suction of the adsorption unit is not clogged in any situation, while allowing fine adjustment even in the fixed state of the adsorption unit, as well as the adjustment angle of the control unit is free. It is to keep clean.

In addition, the overall assembly structure is simplified and the operation accuracy is induced, not only to replace imports but also to increase overseas exports.

In order to achieve the above object, the present invention is to radially form an auxiliary passage to be inserted into the aeration passage of the suction pipe connected to the suction unit to prevent clogging by the auxiliary passage during bending of the suction pipe, and also to fix the suction unit The microadjustment structure is introduced to the adsorption head and the adsorption part to be connected to each other, so that various adjustments of the adsorption part can be made even in the fixed state, and the flexible corrugated pipe is mounted on the control unit to maintain the cleanliness easily.

In addition, by simply implementing the structure of the control unit, handle and main holder as well as the adsorption unit and the adsorption head, it is possible to realize the ease of manufacturing as well as the accuracy of operation.

As described above, the present invention is provided with an auxiliary vent in the suction tube used for cardiac surgery so that the aeration can be performed even when folded, thereby preventing it from falling arbitrarily in the state of being adsorbed on the surface of the heart. It prevents foreign matter from entering into the gap of the flexible arm and secures flexibility. It also enables fine adjustment even when the angle of the adsorption part is fixed to the first place, thereby increasing the stability of the procedure and improving the procedure by improving the structure. It is possible to shorten the procedure time while increasing the visibility and accessibility of the procedure.

1 is a perspective view showing an embodiment of the present invention.

2 and 3 are schematic views of one embodiment of the adsorption unit of the present invention;

Figure 4 is a perspective view showing a state in which the corrugated pipe is formed on the adjuster of the present invention.

5 is an assembly structure of the adsorption head of the present invention.

Figure 6 is a sectional view of the operating state of the adsorption head of the present invention.

Figure 7 is a structural diagram of the adjuster of the present invention.

8 is an assembly structure of the handle of the present invention.

Figure 9 is a cross-sectional view of the operating state according to the handle operation of the present invention.

10 is an assembly structure diagram of the main holder of the present invention.

11 is an operating state diagram according to the lever operation of the present invention

12 is an overall assembly view of the main holder of the present invention.

Figure 13 is a state in which the connection body is coupled to the main holder body of the present invention.

The present invention adjusts while inducing a controlled movement range of the adsorption head and the adsorption head fixed to the adsorption portion fixed to the heart surface, the adsorption portion is fixed by adjusting the movement range of the adsorption portion up, down, left and right while connecting the adsorption portion and the control unit Mounted on the rear end of the control unit and the control unit to fix the fixed state by the operation of the handle, and the handle and the front and rear end of the handle to fix the adsorption head as well as the control unit by tightening and loosening. In the main holder made of a main holder to be fixed to the rail of the operating table while being extended to the control bar, to prevent the suction is not made when the suction pipe is bent by the twist caused by changing various positions during the operation For this purpose, a radial auxiliary passage is formed to be inserted into the inner wall of the suction passage.

Hereinafter, with reference to the accompanying drawings, preferred embodiments of the present invention will be described.

As shown in Figures 1 and 4, the basic configuration of the present invention is connected to the adsorption unit 10 and the adsorption unit 10 and the adjuster 30 is fixed to the heart surface up and down the adsorption unit 10 Adjusting table to fix the fixed state by adjusting the movement of the left and right suction head 20 and the controlled movement range of the suction head 20 while adjusting the movement range of the left and right by the operation of the handle 40 30 and the control unit 30 is mounted to the rear end by the control unit 30 and the wire is connected to the handle (40) to fix the adsorption head (20) as well as the control unit 30 by tightening and loosening and It is a configuration consisting of the main holder 50 to be fixed to the rail of the operating table while being connected to the front end and the rear end of the handle 40 to extend the control table (30).

At this time, the suction pipe 13 is radially introduced into the inner wall of the aeration passage 13a of the suction pipe 13 to prevent a case in which suction cannot be made when the bending occurs due to the twist caused by changing various positions during the operation. By forming the auxiliary passage 13b, even if the passage is blocked by bending, the secondary passage is not blocked.

At this time, as shown in FIG. 2, the suction part 10 is an inlet 12-1 that is inserted in a jaw to prevent blockage due to the epidermis when suctioned into the branch pipe 11 branched in three directions. Inlet 12 is formed in the inner side of the inlet close to the heart surface by the suction of the suction pipe 13 is connected to the upper side of the suction unit (10).

In addition, as shown in FIG. 3, the other suction part 10a has a straight shape and is curved to one side, while a plurality of suction ports 12a are formed in a row, so that the suction pipe 13 is straight inside the suction port 12a. In the state in which the suction unit 10a is curved, the suction holes 12a are positioned at different positions of the inlet unit 12-1 so as to maintain a strong suction force.

In this case, while the inner part 12-1 is formed to be a jaw, the inlet is formed inside thereof to prevent the epidermis of the inhaled heart from blocking the inlet.

In addition, when the angle of the adsorption part 10 is adjusted by the adsorption head 20, in order to be able to change the position where the branch pipe 11 of the adsorption part 10 is in close contact with the heart surface finely to the upper side of the adsorption part. The washer 14 is fitted to form the pivot shaft 15 so that rotation is possible, and after the washer 14 is fitted to the pivot shaft 15, the fixing protrusion 14a is formed on the washer 14 to be adsorbed. It is to be inserted into the projection hole (16a) of the connector 16 to be fitted to the head 20 to be connected.

In this case, the washer 14 is connected to the pivot shaft 15 by the packing 19 using a separate packing 19 to prevent damage to the suction unit 10 by the washer 14.

In addition, the connection head 16 is connected to the connection ball 18 of the connecting shaft 17 of a predetermined length, the adsorption head 20 is connected to the handle 30 is composed of each block body handle 40 By the operation of the wire 100 to adjust the bending angle of the adjuster 30 by pulling and unwinding, the adjuster 30 is exposed to the outside by being assembled and assembled into three block body (32) If the dust is caught in the assembled gap, it is usually combined with a vinyl cover which is shrunk by heat. However, the function of the adjuster is to be sandwiched by the gap of each block body that assembles the adjuster by the vinyl cover. In order to prevent it from being made smoothly, the corrugated pipe 31 is coupled to the outside of the adjuster 30 so as to prevent arbitrary separation between the adsorption head 20 and the main holder 50 to prevent the pinching of foreign substances. room Willing to facilitate the adjustment of the adjuster 30.

At this time, as shown in Figures 5 and 6, the adsorption head 20 is provided with a receiving cap 21 for receiving the connecting shaft and the connecting ball of the connecting body, the receiving cap 21 of the operation cap 22 It is fitted into the operating cap 22 is coupled to the actuator 23 which is inserted into the guide groove (26a) of the fixed body 26 to move up and down, the actuator 23 is connected to the connecting rod of the connecting body and The movable shaft 25 which presses or presses the pressurized shaft 24 which is pressurized to be in close contact with the one end of the wire is fitted to the fixture 26 in a state of being fitted in the center.

At this time, the pressing shaft 24 and the actuator 23 is pressurized and released by the return spring 27, the receiving cap 21 to be fitted into the operating cap 22 is the connecting rod of the connecting body While receiving the connection shaft is folded in all directions, the exposed portion 21b is formed so that the incision 21a is formed so that only the exposed portion is exposed to the outside of the operating cap 22.

In addition, the pressing shaft 24 to be pressed and released by the movable shaft 25 is divided into a shaft 24a and a flange 24b in a state in which the pressing shaft 24 is fitted to the receiving cap 21, and thus the tip of the shaft 24a. Pressing and releasing is made while being in close contact with or separated from the connecting rod of the connecting body.

In addition, the movable shaft 25 is the head 25a is formed to be in close contact with the lower end of the flange 24b of the pressure shaft, the tubular shaft 25b is fitted to the actuator 23 by the pulling of the wire 100 The actuator 23 is to be moved up and down in the guide groove 26a of the fixture 26.

At this time, both ends of the actuator 23 is formed with a slide projection (23a), the slide projection (23a) is protruded in the state fitted in the guide groove (26a) of the fixed body 26 to accommodate the receiving cap 21 It is fixed by being caught by the locking frame (22a) of the operating cap 22 is accommodated.

In addition, the control unit 30 for adjusting and fixing the various angles of the suction head 20 is the

disk body

31, 32 that one side is engaged with the recessed portion 33 and the protrusion 34 as shown in FIG. And the cylindrical body 36 which is inserted into the curved recesses 35 formed on the rear surfaces of the

disk bodies

31 and 32 and is in close contact with each other to be orthogonally orthogonally connected between the disk bodies which are in contact with each other. The wire 100 is connected through the perforated hole 37.

At this time, one end of the wire 100 is fixed to extend to the handle 40 which is located behind the main holder 50 in a state fixed to the movable shaft 25 of the suction head 20.

Further, an inclined surface 38 is formed on both sides of the curved recesses 35 of the

disk bodies

31 and 32 so that the

disks

31 and 32 are adjusted by the cylindrical body 36 by the cylindrical body 36. By bending to be able to be bent at a certain angle by maintaining a certain degree of bending angle is to prevent the adjustment bar to be bent over a certain angle during use.

In addition, as shown in Figures 5 and 9 the handle 40 is in the state that the main holder 50 is fixed to the operating table rail in the state in which the angle adjustment of the suction head 20 as well as the adjuster 30 When only the angle of the adjuster 30 is to be changed from side to side, the adjuster 30 and the handle 40 are used to allow the flow of the block body constituting the adjuster 30 to be performed without separation. Rotating with the handle 40 in the state in which the inlet movable shaft 42 into which the fixing body 43 into which the one end of the wire 100 is fixed is inserted into the handle holder 41 to be connected, is prevented from being pulled out. When the handle 40 is rotated from side to side in the coupled state, the movable body 44 rotatably mounted to the inside of the handle is rotatably coupled with the handle. The fixed body is the head 43 of the fixed body in the state in which it is embedded in the movable shaft 42 When a) is made of a polygon and rotates the handle, the movable body 44 is rotated at the same time while moving forward and backward the fixed body 43 rotatably embedded in the movable body. Then, at the same time, the inner movable shaft 42 is advanced.

Then the holder in the state in which the holder interlocking portion 45 is embedded in the holder connecting portion 51 connecting the main holder 50 and the handle holder 41 to the protrusion shaft 42a protruding obliquely forward of the inboard movable shaft 42. The inlet surface 51a of the connecting portion 51 and the contact surface 45a of the holder intermittent portion 45 are in close contact with or separated from each other to fix and release.

In addition, the operation for close contact and release forms the inclined surface 42b such that the projection shaft 42a is inclined in one direction, and the slide surface 45b and the projection 42a formed to be inclined in engagement with the holder interlocking portion 45 are removed. The locking jaw 45a is formed to prevent the holder intermittent portion 45 from being moved up and down while being held in close contact with the holder connecting portion 51 and being fixed and loosened.

Accordingly, the handle holder 41 is engaged with the holder connecting part 51 so that the handle holder 41 is loosened or twisted in the holder intermittent part 45 so as to be fixed or changeable in direction.

In addition, as shown in FIGS. 10 to 13, the main holder 50 has a holder connection part 51 connected to the handle holder 41 to the upper side of the main body 52, and protrudes to the upper side of the main body 52. Leva 53 is formed and the lower side of the main body 52 to connect the slider 54 for fixing the main holder to the rail and the slider to the lever 53 to fix the slider without being separated The sieve 55 is coupled with the lever 53 so that the connecting body is in close contact with or separated from the main body by the manipulation of the lever 53 and the fixing and loosening are repeated.

At this time, the slider 54 is moved to the left and right while the locking jaw 54a does not fall downward while being fitted with the slide groove 52a of the main body 52, and the movement to the left and right is always performed to one side by the spring 56. In the pushed out state is moved to the other side by the external force, the left and right movement of the slider 54 is inserted by the opening (54b) of the slider is moved by the connecting member 55 to induce the movement to the left and right, in this case the connection The thickness of the sieve 55 and the depth of the opening (54b) is in close contact with the left and right, the connecting body 55 is a connecting shaft (55a) protrudes to open the opening groove (52b) of the main body (52) It is fixed by the snap ring 57 in the state fitted to the shaft groove (53a) of the lever 53 to be carried on the move.

At this time, the spring 56 is embedded in the rail 52d formed on both sides in the state in which the uneven surface 52c of the main body 52 protrudes, and the locking end 52e is formed at the tip of the rail 52d. The separation of the spring 56 fitted to the rail 52d is prevented, and this spring 56 is usually fitted to the fitting protrusion 54c formed on the slider 54 so as to improve the fixing force.

In addition, the lever 53 is formed with an inclined protrusion 53b, and when the lever 53 is rotated to one side, the connecting body 55 is raised by the inclined protrusion 53b while the uneven surface 55b of the connecting body 55 is formed. ) And the concave-convex surface 52c of the main body are engaged with each other and are fixed in a state where the gap is adjusted.

In this case, the connector 55 is connected to the slider 54 by a spring 56a so as to have an elastic force for ease of operation in a state where the connector 55 is fitted in the opening 54b of the slider 54. It is formed to prevent the departure by the fitting groove.

Claims

Adsorption head 10 for fixing and fixing the moving range of the adsorption portion 10 up, down, left and right while connecting the adsorption portion 10 is fixed to the heart surface, the adsorption portion 10 and the adjuster 30 And the control unit 30 fixed to the fixed state by the manipulation of the handle 40 while inducing the controlled moving range of the adsorption head 20 and the rear end of the control unit are mounted and connected to the control unit. The main body 50 is fixed to the rail of the operating table while being connected to the handle 40 and the handle 40 and the front and rear ends of the handle 40 to secure the adsorption head by the loosening and loosening. In

The suction pipe 13 is radially inserted into the inner wall of the aeration passage 13a of the suction pipe 13 to prevent a case in which suction cannot be made when the bending occurs due to the twist caused by changing various positions during the operation. Cardiac stabilization device characterized in that to form the auxiliary passage (13b)
The method of claim 1, wherein when the angle of the adsorption part 10 is adjusted by the adsorption head 20, the position where the branch pipe 11 of the adsorption part 10 is in close contact with the heart surface can be changed finely. In order to rotate the washer 14 to the upper side of the adsorption unit to form a rotation shaft 15, the washer 14 is fitted to the rotation shaft 15, and then the fixing protrusion 14a on the washer 14 Cardiac stabilization device to be connected to the projection hole (16a) of the connecting body (16) to be fitted to the adsorption head (20) to form a
The damage of the suction part 10 by the washer 14 by connecting the washer 14 to the pivot shaft 15 through the packing 19 using a separate packing 19. Cardiac stabilization device characterized in that
The suction head 20 according to any one of claims 1 to 3, wherein the connecting body 16 is connected to the connecting ball 18 of the connecting shaft 17 of a predetermined length to each block body. It is connected to the control unit 30 is configured to adjust the bending angle of the control unit 30 by pulling and unwinding the wire 100 by the operation of the handle 40, such control unit 30 is three As it is made by assembling and connecting to the block body 32, dust is caught in the assembled gap when exposed to the outside, and is usually combined with a vinyl cover that is shrunk by heat. Between the suction head 20 and the main holder 50, the corrugated pipe 31 is placed outside of the adjuster 30 in order to prevent the function of the adjuster from being smoothly caught by the gap between the respective block bodies. Random breakaway in this room Cardiac stabilization device characterized in that it prevents the jamming of foreign objects by being properly combined
5. The suction port of claim 4, wherein the suction part is inwardly inserted into the inlet 12-1, which is inclined to prevent clogging due to the epidermis when inhaled into the branch pipe 11 branched in three directions. 12 is formed, the cardiac stabilization device in close contact with the heart surface by the suction of the suction pipe 13 is connected to the upper side of the suction unit 10
According to claim 4, wherein the suction unit (10a) is formed in a straight shape while the inlet 12a is formed in a plurality of lines while being curved in one side, the suction tube 13 is inboard inwardly of the inlet 12a The cardiac stabilization device maintains a strong adsorption force by allowing the suction unit 10a to be curved in a state so that each suction port 12a is positioned at a different position of the internal unit 12-1.
The suction head (20) of claim 4, further comprising: a pressure shaft (24) for guiding fixing and release of the connecting body (16);

An accommodating cap 21 accommodating the pressing shaft while accommodating the connecting member to be prevented from falling forward;

A movable shaft 25 for inducing operation and release of the pressing shaft accommodated in the receiving cap while accommodating the receiving cap;

An operation cap 22 for receiving the movable shaft and engaging the slide protrusion 23a of the actuator 23 which is moved back and forth by pulling and unwinding the wire 100;

Cardiac stabilization device consisting of a fixed body (26) formed with a guide groove (26a) for raising and lowering the slide projection (23a) of the actuator (23) accommodated in engagement with the operation cap.
5. The disk according to claim 4, wherein the adjuster includes discs 31 and 32 having one side engaged with the recess 33 and the protrusion 34.

Each disk body 31, 32 is bent at a predetermined angle by bending the adjuster 30 by the cylindrical body 36 on the curved recesses 35 formed on the rear surfaces of the disk bodies 31, 32. And the inclined surface 38 formed on both sides thereof to be able to maintain a certain bending angle while being able to be bent.

About half of the cylindrical portion 36 is inserted into the curved recess 35, and the cylindrical body 36 closely connected to each other is continuously orthogonally connected between the disk bodies engaged with each other, and the wire 100 is formed through the hole 37 drilled in the center thereof. Connected and one end of the wire 100 is extended to the handle 40 which is located in the rear of the main holder 50 in the state fixed to the movable shaft 25 of the suction head 20 is fixed to the device.
5. The handle according to claim 4, further comprising: a handle holder (41) for connecting the handle (30) and the handle (40);

A fixed body 43 having one end of the wire 100 fixed inside the handle holder;

An internal moving shaft 42 into which the fixed body is embedded;

In the state in which the intermittent movable shaft is interlocked, the handle 40 is rotatably coupled while being prevented from falling out, and when the handle 40 is rotated from side to side in the coupled state, the fixing body 43 is disposed inside the handle. A movable body 44 rotatably mounted;

When the movable body 44 is ineligible to rotate with the handle, and the fixed body is inscribed in the inboard movable shaft 42, the head 43a of the fixed body is formed in multiple angles to rotate the handle. ) Rotates at the same time and forward and backward moving the fixed body 43 rotatably embedded in the movable body, the handle 40 is advanced by the pulling of the wire 100, and at the same time the inner movable shaft 42 is advanced When the holder interlocking part 45 is inserted into the holder connecting part 51 connecting the main holder 50 and the handle holder 41 to the protrusion shaft 42a protruding obliquely forward of the inboard movable shaft 42, the holder Cardiac stabilization device is fixed and released as the inner surface 51a of the connection portion 51 and the contact surface (45a) of the holder intermittent portion 45 is in close contact or separated.
5. The main holder of claim 4, wherein a holder connection part 51 connected to the handle holder 41 is protruded to an upper side of the main body 52, and a lever 53 is formed to an upper side of the main body 52. On the lower side of the 52, a slider 54 for fixing the main holder to the rail and a connecting member 55 for fixing the slider to the lever 53 so as to fix the slider without detaching the lever 53 are provided. Is coupled to the cardiac stabilization device is repeated and fixed and loosened while the connector is in close contact with the body by the operation of the lever (53).
11. The method of claim 10, wherein the slider 54 is moved left and right while the locking jaw (54a) does not fall downward in the state fitted with the slide groove (52a) of the main body 52, the movement to the left and right spring (56) ) Is always moved to the other side by the external force in the state that is always pushed to one side, the left and right movement of the slider 54 is inserted by the opening (54b) of the slider is moved by the connector 55 to induce the movement to the left and right. The connecting body 55 is connected to the snap ring 57 in a state where the connecting shaft 55a is protruded and fitted into the shaft groove 53a of the lever 53 so as to move through the opening groove 52b of the main body 52. Fixed heart stabilizer.